TIFFANY MICHELLE ROLLO LPC
NPI 1902445505
Counselor - Professional in Watertown, CT
About Tiffany Michelle Rollo Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY MICHELLE ROLLO LPC (NPI 1902445505) is an individual professional provider in Watertown, Connecticut, licensed in Connecticut (003677) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Michelle Rollo Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Rollo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bristol, CT 06010
- Reassigned Medicare billing, Connecticut enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiffany Rollo's NPI number?
The NPI number for Tiffany Rollo is 1902445505. It was assigned to this individual provider in the NPPES registry on December 30, 2019.
Where is Tiffany Rollo located?
Tiffany Rollo practices at 680 Main St Ste 305, Watertown, CT 06795. The listed phone number is (203) 707-8962.
What is Tiffany Rollo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tiffany Rollo enrolled in Medicare?
Yes. Tiffany Rollo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Rollo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Rollo reassigns Medicare benefits to Healing Space (Bristol, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Rollo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tiffany Rollo was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tiffany Michelle Rollo, LPC · NPI 1902445505
Professional provider in Watertown, Connecticut. Individual provider, active in the CMS NPPES registry since December 30, 2019.
## Identity
- **NPI:** 1902445505 (Entity type: Individual)
- **Enumerated:** December 30, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 003677 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 MAIN ST STE 305, Watertown, CT 06795-2656
- **Phone:** (203) 707-8962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Healing Space (NPI 1417690579, Bristol, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1902445505) · Data from the CMS NPPES public registry.